NPIMap

Organization Active NPI

Surgical Services P.C.

  • Surgery Physician
  • Sweetwater, TN
National Provider Identifier
1154433886
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICAL SERVICES P.C.
Practice address
604 S Main St
Sweetwater, TN 37874-2708
Phone
(423) 337-4508
Fax
(423) 337-4588
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ramon Villanueva, MDNPI 1790897411
Title
Pres/Owner
Phone
(423) 337-4508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

604 S Main St
Sweetwater, TN 37874-2708

Mailing address

604 S Main St
Sweetwater, TN 37874-2708
Phone (423) 337-4508

National Provider Directory

National Provider Directory

Locations

604 S Main St
Sweetwater, TN 37874
Phone (423) 337-4508

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1154433886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S MAIN ST",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378742708",
            "telephone_number": "423-337-4508",
            "fax_number": "423-337-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S MAIN ST",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378742708",
            "telephone_number": "423-337-4508",
            "fax_number": "423-337-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "423-337-4508",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.